Organization
GRACE AND PEACE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L JOHNSON (CEO)
(248) 252-1023
Entity
Organization
Contact information
Practice address
19110 MCCORMICK ST, DETROIT, MI 48224-1018
(248) 252-1023
Mailing address
19110 MCCORMICK ST, DETROIT, MI 48224-1018
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760724272
—
MI
Enumeration date
09/04/2014
Last updated
09/04/2014
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